Michelle Van Fossen (NPI# 1487925715, PAC ID# 8921268368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1487925715 |
| PAC ID by PECOS | 8921268368 |
| Professional Enrollment ID | I20120322000342 |
| Full Name | Michelle Van Fossen |
| Organization Legal Name | HUNT REGIONAL MEDICAL PARTNERS |
| Address |
4215 Joe Ramsey Blvd E Greenville TX 75401-7852 |
| Phone Number | 9034081605 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517137748 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450352 | HUNT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 886 E Lennon Dr, Suite 105, Emory, TX 75440-3214 | 9034085838 | HUNT REGIONAL MEDICAL PARTNERS |
| 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7856 | 9034085838 | HUNT REGIONAL MEDICAL PARTNERS |
| 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 9034081605 | HUNT REGIONAL MEDICAL PARTNERS |
| Organization Legal Name | HUNT REGIONAL MEDICAL PARTNERS |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Lynn Gideon | Nurse Practitioner | Hunt Regional Medical Partners | 3206 Interstate 30, Suite B, Greenville, TX 75402 |
| Vivian Ebrahim | Gastroenterology | Hunt Regional Medical Partners | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7856 |
| Angelia Rose | Nurse Practitioner | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Kimberly H Wagner | Nurse Practitioner | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Jordan K Mahan | Nurse Practitioner | Hunt Regional Medical Partners | 4101 Wesley St, Suite D, Greenville, TX 75401-5635 |
| Khaldun M Khatib | Gastroenterology | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Alfredo F Gurmendi | Thoracic Surgery | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Terry L Sadler | Physical Therapy | Hunt Regional Medical Partners | 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401-7856 |
| Robert F Deuell | Family Medicine | Hunt Regional Medical Partners | 4101 Wesley St, Suite D, Greenville, TX 75401-5635 |
| Johnny L Johnson | Physician Assistant | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Street Address |
4215 JOE RAMSEY BLVD E |
| City | GREENVILLE |
| State | TX |
| Zip | 75401-7852 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard R Loeffler | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Michael J Sze | Diagnostic Radiology | Red River Valley Radiology Associates | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Kevin B Riney | Nurse Practitioner | Winning Physical Medicine and Rehabilitation Programs Pllc | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Angelia Rose | Nurse Practitioner | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| William Byron Winn | Physical Medicine and Rehabilitation | Winning Physical Medicine and Rehabilitation Programs Pllc | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Kimberly H Wagner | Nurse Practitioner | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Nicholas R Makaya | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Khaldun M Khatib | Gastroenterology | Hunt Regional Medical Partners | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Mishawna K Bohner | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| William Cash Byer | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando M Siles | Psychiatry | 2405 Stonewall St, Greenville, TX 75401-3349 | |
| Ehab Mohame Faheid | Internal Medicine | Glen Oaks Hospital Inc | 301 E Division, Greenville, TX 75401-4101 |
| Raza H Sayed | Psychiatry | 301 Division St, Greenville, TX 75401-4101 | |
| Mohanad Bakleh | Infectious Disease | Glen Oaks Hospital Inc | 301 E Division, Greenville, TX 75401-4101 |
| Dante R Burgos | Psychiatry | 2704 Washington St, Greenville, TX 75401-4114 | |
| Paul M Lee | Psychiatry | 4215 Joe Ramsey Blvd, Greenville, TX 75401-4114 | |
| Janiell Lynn Jernigan | Nurse Practitioner | 301 E Division St, Greenville, TX 75401-4114 | |
| Hassan Farooq | Internal Medicine | 4812 Roberts, Greenville, TX 75401-4812 | |
| Jacob Chun | Orthopedic Surgery | 4725 Wellington St, Greenville, TX 75401-4945 | |
| Maxine J Thomas | Family Medicine | 4725 Wellington St, Greenville, TX 75401-4945 | |
| Find all physicians in zip 75401 | |||
| City | GREENVILLE |
| Zip Code | 75401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GREENVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michelle Van Fossen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.